MS. SUSANA DOMINGUEZ (NPI# 1477929875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477929875 |
| Entity Type | Individual |
| Full Name | MS. SUSANA DOMINGUEZ |
| Practice Address |
3333 E American Ave Fresno CA 93725-9247 |
| Mailing Address |
Po Box 1778 16700 5th St Huron CA 93234-1778 |
| Practice Telephone | 5596004878 |
| Practice Fax Number | 5596007645 |
| Mailing Telephone | 5599049337 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649609892 | Susana Dominguez | Dental Hygienist | 839 W Congress St, Tucson, AZ 85745-2819 | 2013-11-08 |
| Street Address |
3333 E AMERICAN AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93725-9247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245248160 | Sureshbabu Kurra | Psychiatry & Neurology | 3333 E American Ave, Fresno, CA 93725-9247 | 2006-08-04 |
| 1164070116 | Elizabeth Alvarez | Student in an Organized Health Care Education/Training Program | 3333 E American Ave, Fresno, CA 93725-9247 | 2019-09-03 |
| 1376191395 | Jeannie Sheng Lee | Student in an Organized Health Care Education/Training Program | 3333 E American Ave, Fresno, CA 93725-9247 | 2019-09-03 |
| 1588212807 | Mary Danielle Alvarez | Student in an Organized Health Care Education/Training Program | 3333 E American Ave, Fresno, CA 93725-9247 | 2019-08-29 |
| 1356804058 | Julie Ann Collins | Counselor | 3333 E American Ave, Fresno, CA 93725-9247 | 2019-04-09 |
| 1730650391 | Monica Aldana | Counselor | 3333 E American Ave, Fresno, CA 93725-9247 | 2018-12-07 |
| 1376014142 | Angelica Arreola-sandoval | Counselor | 3333 E American Ave, Fresno, CA 93725-9247 | 2018-12-05 |
| 1265903033 | Christi Michelle Fischer | Counselor | 3333 E American Ave, Fresno, CA 93725-9247 | 2018-12-05 |
| 1750859930 | Raul Palma | Social Worker | 3333 E American Ave, Fresno, CA 93725-9247 | 2018-11-06 |
| 1497235048 | Alexiz Duran | Student in an Organized Health Care Education/Training Program | 3333 E American Ave, Fresno, CA 93725-9247 | 2018-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235461203 | Greta Macias | Dental Assistant | 6713 South Chestnut Ave., Fresno, CA 93725 | 2010-02-02 |
| 1356589014 | Jayme Jo Calandri | Licensed Vocational Nurse | 3333 E. American Ave, Fresno, CA 93725 | 2009-02-03 |
| 1669596235 | Cheryl Ann Nelson | Licensed Vocational Nurse | 3103 E. Cartwright, Fresno, CA 93725 | 2007-03-19 |
| 1922161074 | Concepion Quipit Zamora | Licensed Practical Nurse | 5070 East Belgravia, Fresno, CA 93725 | 2006-12-19 |
| 1194712331 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 1155 E North Ave, Ste 105, Fresno, CA 93725 | 2005-10-03 |
| 1396919577 | Patricia Ann Foley | Licensed Vocational Nurse | 3103 E Cartwright Ave, Fresno, CA 93725 | 2008-04-17 |
| 1184756389 | Martha A Girvan | Counselor | 3103 E Cartwright Ave, Fresno, CA 93725 | 2007-03-12 |
| 1275698409 | Linda Dominguez | Counselor | 3103 E Cartwright Ave, Fresno, CA 93725 | 2006-12-27 |
| 1417047432 | County of Fresno | Clinic/Center | 5250 E Church Ave, Fresno, CA 93725-0900 | 2006-10-13 |
| 1386803815 | Lilia Acosta | Home Health Aide | 5234 E Blossom Ln, Fresno, CA 93725-0909 | 2008-06-09 |
| Find all providers in zip 93725 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173835 | Cristina Palacios-gomez | Case Manager/Care Coordinator | 1834 E Lester Ave, Fresno, CA 93720-1963 | 2020-10-27 |
| 1588272876 | Avarita Shari Henry | Case Manager/Care Coordinator | 3710 Iris Ridge Way, Fresno, TX 77545-6040 | 2020-07-22 |
| 1780201954 | Sabrina Syvankham | Case Manager/Care Coordinator | 4789 E Kings Canyon Rd, Fresno, CA 93702-4069 | 2020-07-02 |
| 1487270658 | Choua Yang | Case Manager/Care Coordinator | 4861 E Kings Canyon Rd, Fresno, CA 93727-3811 | 2020-06-23 |
| 1801428834 | Alicia Danielle Sanchez | Case Manager/Care Coordinator | 7029 N Oratorio Dr, Fresno, CA 93711-0146 | 2020-02-07 |
| 1689136350 | Marissa Carrillo | Case Manager/Care Coordinator | 1797 E Dorothy St, Fresno, CA 93706-5430 | 2019-04-02 |
| 1902363609 | Ma Irene Sanchez Sanchez | Case Manager/Care Coordinator | 4411 E Kings Canyon Rd Ste 319, Fresno, CA 93702-3604 | 2019-02-28 |
| 1144790411 | Garfield Jermyuer Spencer | Case Manager/Care Coordinator | 3433 W Shaw Ave Ste 103, Fresno, CA 93711-3229 | 2018-11-29 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.